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09202 (AR)P.O. BOX 1504 .. �:., �`�/ N�. 09202 Building, 78-105 CALLE ESTADO Address 48-721 San V enti2 LA QUINTA, CALIFORNIA.92253 c j— Owner Jose_nh Postel BUILDING: TYPE CONST. OCC: GRP. Mailing r' Address p..O. E6:k 568 A.P. Number City Zip TeI. I a 0%1 ntd 92253 588 Legal Description Contractor Project Description f3Va�aal ;� 368, s. f.' Address City Zip Tel.` State Lic. City & Classif. Lic. # Sq. F � No., No. Dw. Size Stories Units Arch.,,Engr., ' Designer New ❑ Add. ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # 1 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section TO 130) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ' _SIGNATURE DATE ' OWNER•BUILDER DECLARATION ;,• '• " Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following • 25,392.00 reason: (Sec. 7031.5,Business and Professions Code: Any city or county which,requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance also •PERMIT - - requires, the applicant for such permit to file a signed statement that he Is licensed pursuant to ,' -AMOUNT. - the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of ' " - Division 3 of the Business and. Professions Code, or that. he is exempt therefrom, -' and the basis ' for the alleged exemption. Any violation of Section .7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. A� I, as owner of the property, or my employees with wages as their sole compensation, will 1 _ f� td3 the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's Const. ' 258 50 - License Law does not apply to an owner of property who �-'builds or improves thereon and who does such work himself or through his own employees, that'such improvements Mech. .. ' provided. are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner -builder will have the burden ' _ Electrical• -- 7 ' of proving that he did not build or improve for the purpose of sale.) .. t '^ ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing struct the project. (Sec. 7044, Business and Professions- Code: The Contractor's nse Law does not apply to an owner of property who builds or improves thereon, -and w contracts for -S.M.I. 'such projects with a contractor(s) licensed pursuant to the Contractor's License .) ' ❑ I am exempt under Seca ' • B. & P,C. for is reason Grading a j Driveway Enc. •i Date Owner �i tt:• fN T .•.-=•....� Infrastructure - 00 , WORKERS COMPENSATION DECLARATION hereby affirm that I have a�certificate of"consent to self -insure, or a certificate of Worker's Compensation Insurance, or,a certified copy thereof. (Sec. 3800, Labor Co_de.). - - , Policy No. Company " ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished:. TOTAL - CERTIFICATE OF EXEMPTION FROM WORKERS/'COMPENSATION INSURANCE' REMARKS - This sectio need not be completed if they permit is for oqe hundred dollars ($100) valuation �1 • or less.) - I certify that in the performe of th work pr which this permit is issued, I shall not y � I: f :3• `'P -j%— 914 ��0.440 =any person to any man/.,Cs(? as to become su e'ct to the Workers' Compensation Laws of California. } t 0 h4i) Date Owner NOTICE TO APPLICANT: U a era er lnakirg't�i Certi - ate.: of Exemption you should becomeCerti - ate.: of Exemption you should become. ZONE: _ BY: - subject to the workers' Co pensabon provisions of the Labor,• Code, you must. forthwith comply with such provisions or thiscomply with such provisions or this pe It shall be;Ceemed revoked.ft shall be;peemed revoked. •. Minimum Setback Distances: '�• , - • , - s Front Setback from Center Line ' Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line - Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct.ISSUed by: Date %Permit 1 agree to comply with all city and county ordinances and state laws relating to building e construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Validated by: - Signature of applicant Date _ Mailing Address Validation: City, State, Zip EAS .`s r«r� f4 w:4':4, �. ;_.� c ,'�'� t ? T ' - � 'Y � `.Y .a wt � 4- u• -v o ? i y.e -i �. r .• e r •7n �d i .,�e•H 4 3 �A, �.G. .:7 ,!. f. .'14 y '� . •Y'4e r S R-b�.`,... -`?�" r�r r« Z r!.-•, { - 'r..ttA� t , CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES EATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER //H 5;bUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/a c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP.b jj �/ l ! ROOFING G GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE j PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 1,191 GROUND PLUMBING UNDERGROUNI167 A.C. UNIT COLL. AREA SLAB GRADE A JA ROUGH PLUMB. BONDING EATING (ROUGH) STORAGE TANK FORMS JA SEWER OR SEPT TAN ROUGH WIRINGS //H 5;bUCT WORK ROCK STORAGE FOUND. REINF GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. o ht GRADING cu. yd. $ plus x$ _ $ LUMBER GR. FRAMING GS r �� FINAL INSP.b jj �/ l ! ROOFING G e !n REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FI WALL THING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION /to CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATUREWINITIALS GARDEN WALL FINAL